BENJAMIN N.H. HADDOCK PA-C
NPI 1265043004
Physician Assistant in Easley, SC

Q: What is Benjamin Haddock's NPI number?

The NPI number for Benjamin Haddock is 1265043004. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Q: What is Benjamin Haddock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Haddock was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2020PECOS Enrolled

115 BRUSHY CREEK RD, EASLEY, SC 29642(864) 635-0376(864) 442-6848 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2024, Jun 4, 2021, Dec 7, 2020 and 2 more (5 updates tracked since 2020).

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About Benjamin N.h. Haddock Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN N.H. HADDOCK PA-C (NPI 1265043004) is an individual physician assistant in Easley, South Carolina and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265043004

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBENJAMIN N.H. HADDOCKCredential: PA-C

Location Address115 BRUSHY CREEK RDEasley, SC 29642-1120

Mailing AddressPo Box 1315Easley, SC 29641-1315 · (864) 635-0376 · Fax (864) 442-6848

Phone(864) 635-0376

Fax(864) 442-6848

Sole ProprietorNo

Enumeration DateAugust 14, 2020

Last NPPES UpdateDecember 30, 20245 updates tracked since enumeration

NPPES CertifiedDecember 30, 2024

✔ NPI 1265043004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

115 BRUSHY CREEK RD, Easley, SC 29642

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin N.h. Haddock Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier22 claims22 services$42.90 avg. paid by Medicare

Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843

DME-Orthotic Devices · category DF011N

1 supplier24 claims25 services$731.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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